Affiliations 

  • 1 Mayo Clinic, Rochester, MN, USA. holmes.benjamin@mayo.edu
  • 2 Medical College of Wisconsin, Milwaukee, WI, USA
  • 3 Sri Balaji Action Medical Institute, New Delhi, India
Spinal Cord, 2024 Jul;62(7):421-427.
PMID: 38914754 DOI: 10.1038/s41393-024-01003-7

Abstract

STUDY DESIGN: Cross-sectional study.

OBJECTIVES: To evaluate etiologic factors associated with spinal cord injury (SCI) severity and to identify predictive factors of reduction in SCI severity in six countries.

SETTING: SCI centers in Bangladesh, India, Malaysia, Nepal, Sri Lanka, and Thailand.

METHODS: Data from centers collected between October 2015 and February 2021 were analyzed using descriptive statistics and logistic regression.

RESULTS: Among 2634 individuals, the leading cause of SCIs was falls (n = 1410, 54%); most occurred from ≥1 meter (n = 1078). Most single-level neurological injuries occurred in the thoracic region (n = 977, 39%). Greater than half of SCIs (n = 1423, 54%) were graded American Spinal Injury Association Impairment Scale (AIS) A. Thoracic SCIs accounted for 53% (n = 757) of all one-level AIS A SCIs. The percentage of thoracic SCIs graded AIS A (78%) was significantly higher than high cervical (52%), low cervical (48%), lumbar (24%), and sacral (31%) SCIs (p 

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.